Active NPI
Chad Bechtle, O.D.
- Optometrist
- Davis-Monthan Afb, AZ
National Provider Identifier
1700125960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9426413-9934
- Practice address
- 4175 S. Alamo Ave
Davis-Monthan Afb, AZ 85707 - Phone
- (520) 228-2737
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6187 | OH | |
| Optometrist | 152W00000X | 9426413-9934 | UT | Primary |
Addresses
Primary practice location
4175 S. Alamo Ave
Davis-Monthan Afb, AZ 85707
Mailing address
4175 S. Alamo Ave
Davis-Monthan Afb, AZ 85707
Phone (520) 228-2737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140304000892 | FL | Order and Referring Only - Optometry | 3476783846 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6187 | OH | MD | Optometrist |
| 9426413-9934 | UT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1700125960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "DAVIS-MONTHAN AFB",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "DAVIS-MONTHAN AFB",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHTLE",
"first_name": "CHAD",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2022-08-31",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6187",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9426413-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis-Monthan Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.